MS. ANN MARIE FITZGIBBONS (NPI# 1811099872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811099872 |
| Entity Type | Individual |
| Full Name | MS. ANN MARIE FITZGIBBONS |
| Credential | RPH |
| Practice Address |
116 E 11th St Spencer IA 51301-4364 |
| Mailing Address |
6805 Lake Shore Dr Okoboji IA 51355-5015 |
| Practice Telephone | 7122622343 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1173198 | MN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 16605 | IA | Pharmacy Service Providers |
| Street Address |
116 E 11TH ST |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760605 | John Benjamin Synhorst II | Dentist | 116 E 11th St, Ste 201, Spencer, IA 51301-4363 | 2005-06-15 |
| 1467821116 | Briana Wetrich | Physician Assistant | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2015-09-23 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1720401961 | Megan Vanotterloo | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2014-01-23 |
| 1225468812 | Karen Potaczek, D.d.s., P.C. | Oral & Maxillofacial Surgery | 116 E 11th St, Suite 201, Spencer, IA 51301-4393 | 2013-11-18 |
| 1386938926 | Hilary L Kerrick | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2011-05-31 |
| 1144534702 | Avera Home Medical Equipment of Spencer Hospital LLC | Durable Medical Equipment & Medical Supplies | 116 E 11th St, Suite 104, Spencer, IA 51301-4300 | 2010-08-05 |
| 1669793808 | David Stephen Keith | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-06-22 |
| 1124344833 | Travis J. Witt | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-04-20 |
| 1003046939 | Kathi Kae Heckert | Nurse Practitioner | 116 E 11th St, Ste 101, Spencer, IA 51301-4300 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518646 | Philip Anthony Card | Pharmacist | 823 W State Highway 46 Ste 1p1, Spencer, IN 47460-6748 | 2020-11-02 |
| 1437485588 | Sarah M Braley | Pharmacist | 3 Nottingham Cir, Spencer, MA 01562-2944 | 2009-10-26 |
| 1952551285 | Kenly Waine Corkrean | Pharmacist | 41 Williams Dr, Spencer, WV 25276-1825 | 2008-09-23 |
| 1386843613 | Troy Thompson | Pharmacist | 1530 W 14th St, Spencer, IA 51301-2864 | 2007-07-17 |
| 1962590265 | Chad L Moser | Pharmacist | 1314 17th Ave W, Spencer, IA 51301-2739 | 2006-10-11 |
| 1295335776 | Edwin Garrick Cooper | Pharmacist | 823 W State Highway 46, Spencer, IN 47460-6748 | 2020-10-26 |
| 1598382939 | Bradley C Olsen | Pharmacist | 800 Grand Ave, Spencer, IA 51301 | 2020-07-01 |
| 1609402858 | Janelle Lynn Ginger | Pharmacist | 819 Grand Ave, Spencer, IA 51301-3640 | 2020-03-19 |
| 1902431356 | Molly Conlon | Pharmacist | 819 Grand Ave, Spencer, IA 51301-3640 | 2020-03-05 |
| 1184269391 | Lynndah Rennae Long | Pharmacist | 715 S Grand Ave, Spencer, IA 51301-5731 | 2019-11-12 |
| Find all providers in SPENCER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.